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215174 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 366732 Page 1 of 1 0 ONE CIVIC SQUARE SIMPLE NOTIONS CHECK AMOUNT: $150.00 ` o CARMEL, INDIANA 46032 770 INDIAN TRAILS APT A CARMEL IN 46032 CHECK NUMBER: 215174 CHECK DATE: 12/4/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4340800 39 150 . 00 ADULT CONTRACTORS Simple Notion Invoice 770 Indian Trails Apt A Date invoice# Carmel,IN 46032 10/26/2012 39 Terms Bill To Net 15 Carmel Clay Parks&Recreation Purchase , Description C1� P.O.# o l.0 lcrn P orc G.L.# F3udget C_. Line escr � � i'`C� Purchaser,-` SS Date Spproval_�;=-7=j-�— �—Datej. lf/f�—•' Quantity Description Rate Amount 1 photo service 150.00 150.00 ✓FUI TED NOV 2 0 2012 l _ For Parents Night Out 6:30-8:30pm on 10/26/12 at Carmel Elementary ESE Total $150.00 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Simple Notion Terms 770 Indian Trails Apt A Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 10/26/12 39 Photo service for PNO 10/26/12 CE $ 150.00 Total $ 150.00 1 hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20_ Clerk-Treasurer Voucher No. Warrant No. Simple Notion Allowed 20 770 Indian Trails Apt A Carmel, IN 46032 In Sum of$ $ 150.00 ON ACCOUNT OF APPROPRIATION FOR 108 - ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-1 39 4340800 . $ 150.00 1 hereby certify that the attached invoice(s),or bill(s) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 29-Nov 2012 Signature $ 150.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund